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BREA OLINDA UNIFIED SCHOOL DISTRICT ACCOMODATION PLAN SECTION 504 Student Name: Date of Evaluation: 04.01.2014 Meeting Date: 10.13.2014 Annual Review Date: 10.13.2015 SECTION I - DEMOGRAPHIC DATA. Grade:11 grandparents Birth date:02.18.1998 Guardian: MM Gag Address: Home Phone: Other phone: Interpreter Required: No Primary Language Spoken in Home:English English Proficiency of Student: Full Prof District of Residence: BOUSD District of Attendance: BOUSD School of Attendance: BOHS SECTION I - EVALUTION SUMMARY Identified disability: ADHD, Inattentive type determined: CHOC Children’s Hospital, letter dated 10/3/14 by Dr. Ho |. Effect of disability on learning school functioning: affects, focus, concentration, task completion Areas of needed progam accommodation: executive functioning Requires Individualized Health Plan: No SECTION II - ACCOMODATIONS NEEDED —— Person Duration Areas of Need Accomodations Responsibl Extended time on tests, quizzes, homework, projects, as needed and if adequate progress is being made. Regular Education: Partial work acceptance Use of Learning Center, as needed Teacher, Student ongqing

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